Healthcare Provider Details
I. General information
NPI: 1134336662
Provider Name (Legal Business Name): NAIM ALKHOURI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/16/2007
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
850 COLUMBIA RD STE 200
WESTLAKE OH
44145-7215
US
IV. Provider business mailing address
850 COLUMBIA RD STE 200
WESTLAKE OH
44145-7215
US
V. Phone/Fax
- Phone: 440-808-1212
- Fax: 440-808-2060
- Phone: 440-808-1212
- Fax: 440-808-0321
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 35.091878 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RI0008X |
| Taxonomy | Hepatology Physician |
| License Number | TP00299 |
| License Number State | AZ |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RI0008X |
| Taxonomy | Hepatology Physician |
| License Number | R2803 |
| License Number State | TX |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RG0100X |
| Taxonomy | Gastroenterology Physician |
| License Number | 35.091878 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: